Jessica Lee Edwards, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

094752 Issued in IA

Practice address

824 Flindt Dr Ste 104
Storm Lake, IA 50588-3208

Phone

(800) 242-5101

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
  • NPI 1356198675
  NPD (past)
• Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
  • NPI 1689669459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114446713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 FLINDT DR STE 104",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883208",
            "telephone_number": "800-242-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 FLINDT DR STE 104",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883208",
            "telephone_number": "800-242-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Geneseo St",
            "address_purpose": "LOCATION",
            "city": "Storm Lake",
            "state": "IA",
            "postal_code": "505881833",
            "country_code": "US",
            "telephone_number": "800-242-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "094752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jedwards@seasonscenter.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Seasons Center for Mental Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "824 Flindt Dr Ste 104",
            "city": "Storm Lake",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505883208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DP & B Inc
• Dr. John a. Vaubel, P.C.
• Timm Dunn, R.PH
• Elizabeth Joy Dupic, M.D.
• Kevin Duque, DDS
• Steven Dean Edwards, LMHC, IADC
• Mallory Eilts-Bright
• Jacqueline Ann Ellison, DNP, ARNP, FNP-C
• Essilor Laboratories of America, Inc
• James Paul Faine, D.C.

• Mental Health Counselor in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.